- Highmark Health (Austin, TX)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding,… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical ... in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG)… more
- Elevance Health (Houston, TX)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible for ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of… more
- Elevance Health (Grand Prairie, TX)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II i** s ... **Clinical Provider Auditor II** **Virtual:** This role enables associates to...control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools… more
- Elevance Health (Grand Prairie, TX)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II** is responsible ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools… more
- Datavant (Austin, TX)
- …vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...CIC or CRC) + A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: A minimum of 1 ... IS NOT A REMOTE POSITION We are hiring a Medical Records Clerk/Coder to assign procedure, and diagnosis codes...include but are not limited to: + Utilize specialized medical classification software to assign procedure and diagnosis codes… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …a related field from an accredited university. Licenses/Certifications Preferred:Certified Professional Medical Auditor ( CPMA ), Certified Professional Coder ( ... federal/state laws and regulations and UTRGV policies. To review and analyze medical records, claims, and workflow processes to ensure accuracy, completeness, and… more
- Marathon Petroleum Corporation (San Antonio, TX)
- …risk management, and internal controls.We are currently looking for an IT Auditor I, who would primarily be responsible for performing infrastructure audits. The ... identify risks or issues early.Reporting to an IT Audit Manager, the IT auditor I will have responsibility for assisting in the independent and objective assurance… more
- Houston Methodist (Houston, TX)
- …Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND ABILITIES** ... + Official coding guidelines and coding compliance + Working knowledge of medical terminology, anatomy and physiology, disease processes and pharmacology + Knowledge… more